A nurse is teaching a client with diabetes mellitus about chronic complications associated with the disease. Which information should be included in the teaching?

Ensure adequate fluid intake to prevent kidney damage

Schedule and keep appointments for annual eye exams

Podiatry exams are necessary every 3 months

Excessive exercise increases insulin resistances

Answer and Explanation

Correct Answer : B,C

A.   While maintaining adequate hydration is important for overall health and can help the kidneys function properly, this statement alone does not capture the full scope of kidney-related issues associated with diabetes, such as diabetic nephropathy. It’s important to emphasize regular monitoring of kidney function through lab tests (e.g., microalbuminuria) as part of diabetes management.
B.   People with diabetes are at increased risk for eye complications such as diabetic retinopathy, cataracts, and glaucoma. Regular eye exams are essential for early detection and management of these conditions, making this information critical for a client with diabetes.
C.   Many sources recommend at least annual foot exams, but those with neuropathy or previous foot problems may need more frequent evaluations (every 3 to 6 months). This statement is generally accurate but should be tailored to the individual's risk factors.
D.   Regular physical activity is generally recommended for individuals with diabetes as it improves insulin sensitivity, helping to manage blood glucose levels. While extreme exercise without proper management can lead to complications, stating that excessive exercise increases insulin resistance is misleading. The key is to balance exercise with proper nutrition and medication.

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Correct Answer is B

Explanation

This is the correct time to draw the peak level. The peak level is the highest concentration of the drug in the blood, which typically occurs about 30 minutes to an hour after the end of the infusion.

A. 2 to 4 hours. B. 12 to 16 hours. C. 3 to 10 hours. D. 2 to 8 hours.

Correct Answer is A

Explanation

This is the expected peak time for regular insulin. After administration, the insulin will generally reach its maximum effectiveness in lowering blood glucose within this timeframe, making it essential for the client to monitor their blood sugar levels accordingly.

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A nurse is teaching a client with diabetes mellitus about chronic complications associated with the disease. Which information should be included in the teaching?

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Naxlex Comprehensive Predictor Exams

A client is receiving gentamicin every 12 hours IVPB for an infection. The nurse has administered the 0800 dose, which is prescribed to run over 1 hour. The physician prescribed peak and trough levels to be drawn. The nurse recognizes that the peak level will be drawn at

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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